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European Spine Journal

, Volume 25, Issue 10, pp 3316–3323 | Cite as

Acute pancreatitis following scoliosis surgery: description and clinical course in 14 adolescents

  • Maalik El BouyousfiEmail author
  • Christine Leveque
  • Lotfi Miladi
  • Sabine Irtan
  • Jamil Hamza
  • Mehdi Oualha
Original Article

Abstract

Purpose

Acute pancreatitis is a possible complication after scoliosis surgery. Although some risk factors have been documented in the literature, clinical description of pancreatitis diagnosis and ensuing course still remain very poor. The aim of this study was to describe characteristics of acute pancreatitis after scoliosis surgery.

Methods

A descriptive, retrospective and single-center study of fourteen adolescents with postoperative acute pancreatitis after spine fusion surgery in scoliosis management between April 2003 and August 2012 was performed.

Results

Acute pancreatitis occurred within 9.5 days (4–51) after surgery. Abdominal pain was atypical and was expressed in only half of the children. Ileus, nausea and vomiting were the most frequent signs. None of the acute pancreatitis cases was severe.

Conclusion

Acute pancreatitis is an early complication of scoliosis surgery. Clinical signs are atypical and non-severe and can induce misleading forms. Presence of delayed digestive problems should alert the clinician to the risk of pancreatitis in the aftermath of scoliosis surgery.

Keywords

Pancreatitis Scoliosis surgery Abdominal complication Clinical signs 

Abbreviations

AP

Acute pancreatitis

BMI

Body mass index

CT

Computed tomography

CRP

C-Reactive Protein

CVC

Central venous catheter

GERD

Gastroesophageal reflux disease

MOF

Multiple organ failure

NVGR

Nausea, vomiting or gastric residuals

RAD

Reactive airway disease

Notes

Compliance with ethical standards

Conflict of interest

No conflict of interest and no source of funding.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  • Maalik El Bouyousfi
    • 1
    Email author
  • Christine Leveque
    • 2
    • 3
  • Lotfi Miladi
    • 4
  • Sabine Irtan
    • 5
    • 6
  • Jamil Hamza
    • 1
  • Mehdi Oualha
    • 7
  1. 1.Surgical Pediatric Intensive Care UnitNecker-Enfants Malades Hospital, Paris Descartes UniversityParisFrance
  2. 2.Mobile Team of Palliative Care and Pain Consultation, Nanterre Hospital (Adults)NanterreFrance
  3. 3.Nursery Paul Parquet Neuilly/Seine (Children)ParisFrance
  4. 4.Pediatric Orthopaedic Service, Necker-Enfants Malades HospitalParis Descartes UniversityParisFrance
  5. 5.Paediatric Surgery DepartmentTrousseau HospitalParisFrance
  6. 6.Sorbonne Universités, UPMC, Paris 06 UniversityParisFrance
  7. 7.Surgical and Medical Pediatric Intensive Care UnitParisFrance

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